[Pre-peritoneal reconstruction in recurrent inguinal hernia]

In 1973 Horný described preperitoneal implantation of a skin graft in relapses of inguinal hernias by the inguinal route. The graft is fixed to Cooper's ligament and by stitches across the entire abdominal wall attached by knots to the aponeurosis of the external oblique abdominal muscle on the sheath of the m. rectus abdominis. Above it the fascia transversalis is sutured. Its margin must be beyond the outline of the trigona imguinale by at least 20 mm. In this way since Jan. 1, 1966 to Dec. 31, 1979 82 men were operated and followed up for five years. During this period a total of two secondary relapses developed, i.e. 2.44%. It was found that the effect of this type of operation depends on covering of the trigonum inguinale by a skin graft and its perfect stretching.